Goodside Health Medical, Pllc
Pediatrics Physician in Metairie, LA(View on Map)
Legal Business Name
Goodside Health Medical, Pllc
NPI Number
1235869165
NPI Type
Organization
Enumeration Date
06/14/2022
Specialties
(Taxonomies)Name
Code
208000000X
261Q00000X
207Q00000X
207R00000X
363L00000X
363A00000X
Primary Taxonomy
Yes
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
1701 RIVER RUN STE 302
1000 VETERANS MEMORIAL BLVD STE 305
City
Fort Worth
Metairie
State
TX
LA
Postal Code
76107-6547
70005-2852
Country
US
US
Telephone Number
(281) 203-5006
(281) 203-5006
Authorized Official
Name
Gerardo Reyes
Title or Position
OWNER
Telephone Number
(281) 203-5006
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/01/2022
Provider Address
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